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F30.3 ICD-10-CM Code: Manic episode in partial remission

Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.

Coding at a Glance

Tabular directives
2 inclusion terms · 3 Excludes1
Risk adjustment
CMS-HCC V28: 1 category · CMS-HCC V22 category 58 · RxHCC V08 category 131

Inpatient Payment Groups (MS-DRG)

Potential MS-DRG participation — not a DRG assignment.

MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43, Appendix B.

A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.

Risk Adjustment (CMS-HCC)

Payment categories this diagnosis maps to under CMS-HCC V28, payment year 2026.

  • HCC 154 — Bipolar Disorders without Psychosis (supersedes HCC 155)

Other models: CMS-HCC V22 HCC 58 · RxHCC V08 HCC 131

Risk scores depend on the enrollee's full accepted diagnosis set and segment; a category mapping alone does not determine payment.

Coding instructions

Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for F30.3 in the official ICD-10-CM tabular list, quoted as published.

Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2026Effective: October 1, 2025

Notes without a marker are published on F30.3 itself; “inherited from” names the category or block whose note applies here.

Includes

Conditions the official ICD-10-CM tabular list includes under this code.

  • bipolar disorder, single manic episode
  • mixed affective episode

Source: inherited from F30

Excludes1 — Not Coded Here

Conditions generally not reported together with this code (Excludes1) -- an error unless the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Source: inherited from F30

Coder workflow for F30.3

MedCoder structured workflow — derived from this code’s own official record

Before you code F30.3

  1. Check the Excludes1 note: if the documentation supports a condition named there, do not simply proceed with F30.3. Excludes1 conditions are not reported together with this code unless the record shows they are unrelated (Guidelines I.A.12.a).

    See the official tabular notes

Choose the right path

  1. Does the documentation support a condition named in F30.3’s Excludes1 note?
    Yes → Do not simply proceed: review the excluded code. Both are reported only when the record shows the two conditions are unrelated.
    No → Continue.

    ReviewF31, F32, F33

Consider F30.3. Then confirm the code is valid for the date of service in the Verify section.

Documentation check

The provider’s diagnostic statement
Codes are assigned from the provider’s documented diagnosis, not from clinical criteria, test values or a medication list (Guidelines I.A.19).
Remission status
Remission is coded only when the provider documents it.
The associated condition or complication
Whether the associated condition the title names is documented; the “with” convention presumes some links, and a provider statement that the conditions are unrelated defeats it (Guidelines I.A.15).

Official instructions as workflow

  • Excludes1 — check before selecting F30.3(3 notes)

    Coding workflow: If the documentation supports a condition named in this note, do not simply proceed with F30.3: the two are not reported together. The one exception is when the record shows the two conditions are unrelated to each other.

    CompareF31, F32, F33

    See the official tabular notes · Guidelines I.A.12.a

Coding decision scenarios

Pattern scenarios for this code’s structure — decision rules, not clinical cases

Documentation: Both the condition F30.3 describes and a condition named in its Excludes1 note are documented for the same encounter.

Coding question: Can both codes be reported?

Path: Review the Excludes1 note and the excluded code, and look for a provider statement on whether the two conditions are related.

Reason: Excludes1 means the two are not coded together; the exception is when the record shows the conditions are unrelated to each other (Guidelines I.A.12.a).

ReviewF31, F32, F33

Every row is derived from this code’s own record — its title, tabular notes, 7th-character family and same-category siblings — with fixed MedCoder wording; nothing is inferred about a patient. The official notes and guideline text are in the sections each row links to, and they control.

Code Overview

Manic episode in partial remission is a billable ICD-10-CM diagnosis code (F30.3).

MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.

Indexed Clinical Terms (2)

Official source data — entries quoted as published, in the Index’s own lookup phrasing

Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code. These are alphabetic-index entries shown as the Index writes them — lookup phrasing, not necessarily the wording of a final diagnosis.

Verify Before Coding

  • No Medicare Code Editor or MS-DRG Definitions Manual restrictions apply to this code.

From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.

Relationships & Classification

MedCoder structured relationships — computed from published CMS and AHRQ datasets

Other codes that name F30.3 or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.

Referenced by 3 Excludes1 notes: F31 — Bipolar disorder (via F30.-), F32 — Depressive episode (via F30.-), F33 — Major depressive disorder, recurrent (via F30.-).

These codes’ tabular lists mark this diagnosis as mutually exclusive — not reported together unless the conditions are documented as unrelated.

Referenced by 4 Excludes2 notes: F06.3 — Mood disorder due to known physiological condition (via F30.-), F90 — Attention-deficit hyperactivity disorders (via F30.-), F91 — Conduct disorders (via F30.-), F93.0 — Separation anxiety disorder of childhood (via F30.-).

These codes’ tabular lists name this diagnosis as distinct — both may be reported when both are documented.

MS-DRG Grouper Relationships (FY2026)

Potential MS-DRG participation — not a DRG assignment.

FY2026 MS-DRG: not on the CMS CC/MCC list — as a secondary diagnosis this code does not change MS-DRG severity for that release.

Named in the grouper logic of 1 MS-DRG: DRG 885 (MDC 19).

From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.

Clinical classification (AHRQ CCSR):MBD003 — Bipolar and related disorders (default).

Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.

Related Codes

Same CMS-HCC risk category (V28)

CMS maps these diagnoses to the same Hierarchical Condition Category (Bipolar Disorders without Psychosis) for risk-adjusted payment.

F30.10 — Manic episode without psychotic symptoms, unspecified, F30.11 — Manic episode without psychotic symptoms, mild, F30.12 — Manic episode without psychotic symptoms, moderate, F30.13 — Manic episode, severe, without psychotic symptoms, F30.8 — Other manic episodes, F30.9 — Manic episode, unspecified, F31.0 — Bipolar disorder, current episode hypomanic, F31.10 — Bipolar disorder, current episode manic without psychotic features, unspecified, F31.11 — Bipolar disorder, current episode manic without psychotic features, mild, F31.12 — Bipolar disorder, current episode manic without psychotic features, moderate, F31.13 — Bipolar disorder, current episode manic without psychotic features, severe, F31.30 — Bipolar disorder, current episode depressed, mild or moderate severity, unspecified, F31.31 — Bipolar disorder, current episode depressed, mild, F31.32 — Bipolar disorder, current episode depressed, moderate, F31.4 — Bipolar disorder, current episode depressed, severe, without psychotic features, F31.60 — Bipolar disorder, current episode mixed, unspecified, F31.61 — Bipolar disorder, current episode mixed, mild, F31.62 — Bipolar disorder, current episode mixed, moderate, F31.63 — Bipolar disorder, current episode mixed, severe, without psychotic features, F31.71 — Bipolar disorder, in partial remission, most recent episode hypomanic, +6 more

Related risk categories

These categories interact through CMS's HCC hierarchy — one can suppress the other's risk-adjustment weight when both are present on a claim.

Schizophrenia, Psychosis, Except Schizophrenia, Personality Disorders; Anorexia/Bulimia Nervosa, Major Depression, Moderate or Severe, without Psychosis

Same clinical category (CCSR)

AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical category (Bipolar and related disorders).

F06.33 — Mood disorder due to known physiological condition with manic features, F06.34 — Mood disorder due to known physiological condition with mixed features, F30.10 — Manic episode without psychotic symptoms, unspecified, F30.11 — Manic episode without psychotic symptoms, mild, F30.12 — Manic episode without psychotic symptoms, moderate, F30.13 — Manic episode, severe, without psychotic symptoms, F30.2 — Manic episode, severe with psychotic symptoms, F30.8 — Other manic episodes, F30.9 — Manic episode, unspecified, F31.0 — Bipolar disorder, current episode hypomanic, F31.10 — Bipolar disorder, current episode manic without psychotic features, unspecified, F31.11 — Bipolar disorder, current episode manic without psychotic features, mild, F31.12 — Bipolar disorder, current episode manic without psychotic features, moderate, F31.13 — Bipolar disorder, current episode manic without psychotic features, severe, F31.2 — Bipolar disorder, current episode manic severe with psychotic features, F31.30 — Bipolar disorder, current episode depressed, mild or moderate severity, unspecified, F31.31 — Bipolar disorder, current episode depressed, mild, F31.32 — Bipolar disorder, current episode depressed, moderate, F31.4 — Bipolar disorder, current episode depressed, severe, without psychotic features, F31.5 — Bipolar disorder, current episode depressed, severe, with psychotic features, +13 more

Same Index main term, other category

The ICD-10-CM Index to Diseases and Injuries files this code under the main term “Episode”; these codes share that main term but sit in a different category of the Tabular List.

F06.8 — Other specified mental disorders due to known physiological condition (psychotic, organic), F23 — Brief psychotic disorder (psychotic), F31.89 — Other bipolar disorder (manic, recurrent), F32.0 — Major depressive disorder, single episode, mild (depressive, major, mild), F32.1 — Major depressive disorder, single episode, moderate (depressive, major, moderate), F32.2 — Major depressive disorder, single episode, severe without psychotic features (depressive, major, severe), F32.3 — Major depressive disorder, single episode, severe with psychotic features (depressive, major, severe, with psychotic symptoms), F32.89 — Other specified depressive episodes (depressive, specified NEC), F32.9 — Major depressive disorder, single episode, unspecified (depressive, major), F32.A — Depression, unspecified (depressive), F33.8 — Other recurrent depressive disorders (depressive, recurrent, brief), F33.9 — Major depressive disorder, recurrent, unspecified (depressive, recurrent), F39 — Unspecified mood [affective] disorder (affective, mixed), F48.1 — Depersonalization-derealization syndrome (depersonalization)

Lab tests where this diagnosis supports Medicare coverage (NCD)

Medicare's National Coverage Determination (NCD) program lists this diagnosis as medical justification for these lab tests.

Thyroid Stimulating Hormone (TSH)

Contextual Map

Every relationship of F30.3 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Run F30.3 with these 7 related codes in Claim Check

Hierarchy

Referenced by Excludes1 notes

Referenced by Excludes2 notes

Clinical classification (CCSR)

Risk adjustment (CMS-HCC)

  • HCC 154 — Bipolar Disorders without Psychosis [CMS-HCC]: “Bipolar Disorders without Psychosis — supersedes HCC 155 (Major Depression, Moderate or Severe, without Psychosis)”— CMS-HCC V28 · 2026

MS-DRG Grouper

  • DRG 885 — PSYCHOSES[MS-DRG]: “PSYCHOSES (MDC 19)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2026

MDC crossing

  • MDC 19 — Mental Diseases and Disorders[MDC crossing]: “Mental Diseases and Disorders — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs.”— CMS MS-DRG Definitions Manual · FY2026

Index entries

  • Disorder (of), mood, manic episode, in remission (full), partial[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
  • Episode, manic, with, remission (full), partial[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026

Nearest codes (10)

Change history

  • FY2016 — In the code set at ICD-10-CM adoption [Change history]— CMS release files (code change ledger) · icd10cm-fy2016

Sources for this page

Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.

Code, title, tabular notes and index terms Official source data
CMS/CDC ICD-10-CM FY2026 tabular list, index and tables, effective October 1, 2025 Release, file and checksum · Publisher’s page
Claim edits Official source data
CMS Definitions of Medicare Code Edits — v43.1 (April 2026) Release, file and checksum · Publisher’s page
Inpatient payment groups Official source data
CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v43 Release, file and checksum · Publisher’s page
Risk adjustment Official source data
2026 Mid-Year Final ICD-10 Mappings + Model Software (cms.gov/files/zip/2026-midyear-final-icd-10-mappings.zip, 2026-midyear-final-model-software.zip) — CMS-HCC V28, PY2026 mid-year final release Release, file and checksum · Publisher’s page
Change history and date-of-service validity Official source data
CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page
Comparisons, relationships and the contextual map MedCoder structured relationship
Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
Summary and FAQ answers MedCoder explanation
Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.

Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates

Cite this page

Reference this page in a research guide, syllabus or article. The release is included because code content changes each year.

MedCoder.ai. "F30.3 — Manic episode in partial remission." ICD-10-CM FY2026. https://medcoder.ai/icd10/code/f30.3-manic-episode-in-partial-remission

Change history

  • FY2016 — October 1, 2015
    In the code set at ICD-10-CM adoption
    Manic episode in partial remission

No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027 (effective October 1, 2026), and none are recorded for this code. Note changes are tracked from FY2027 only.

Nearest Codes in This Family

Official ICD-10-CM classifications closest to F30.3 in its code family, with their registry titles.

View all codes in the F30 family